Rotational acetabular osteotomy for acetabular dysplasia and osteoarthritis: a mean follow-up of 20 years

2017 ◽  
Vol 137 (4) ◽  
pp. 465-469 ◽  
Author(s):  
Takahito Yuasa ◽  
Katsuhiko Maezawa ◽  
Kazuo Kaneko ◽  
Masahiko Nozawa
Keyword(s):  
Acetabular Dysplasia ◽  
Rotational Acetabular Osteotomy

Changes in muscle strength of the hip after rotational acetabular osteotomy

2019 ◽  
Vol 101-B (11) ◽  
pp. 1459-1463 ◽  
Author(s):  
Tetsuya Enishi ◽  
Hideaki Yagi ◽  
Tadahiro Higuchi ◽  
Makoto Takeuchi ◽  
Ryosuke Sato ◽  
...  
Keyword(s):  
Muscle Strength ◽  
Gait Speed ◽  
Acetabular Dysplasia ◽  
Rotational Acetabular Osteotomy ◽  
Preoperative Level ◽  
Hip Muscle ◽  
Hip Abduction ◽  
One Year ◽  
Hip Flexion

Aims Rotational acetabular osteotomy (RAO) is an effective joint-preserving surgical treatment for acetabular dysplasia. The purpose of this study was to investigate changes in muscle strength, gait speed, and clinical outcome in the operated hip after RAO over a one-year period using a standard protocol for rehabilitation. Patients and Methods A total of 57 patients underwent RAO for acetabular dysplasia. Changes in muscle strength of the operated hip, 10 m gait speed, Japanese Orthopaedic Association (JOA) hip score, and factors correlated with hip muscle strength after RAO were retrospectively analyzed. Results Three months postoperatively, the strength of the operated hip in flexion and abduction and gait speed had decreased from their preoperative levels. After six months, the strength of flexion and abduction had recovered to their preoperative level, as had gait speed. At one-year follow-up, significant improvements were seen in the strength of hip abduction and gait speed, but muscle strength in hip flexion remained at the preoperative level. The mean JOA score for hip function was 91.4 (51 to 100)) at one-year follow-up. Body mass index (BMI) showed a negative correlation with both strength of hip flexion (r = -0.4203) and abduction (r = -0.4589) one year after RAO. Although weak negative correlations were detected between strength of hip flexion one year after surgery and age (r = -0.2755) and centre-edge (CE) angle (r = -0.2989), no correlation was found between the strength of abduction and age and radiological evaluations of CE angle and acetabular roof obliquity (ARO). Conclusion Hip muscle strength and gait speed had recovered to their preoperative levels six months after RAO. The clinical outcome at one year was excellent, although the strength of hip flexion did not improve to the same degree as that of hip abduction and gait speed. A higher BMI may result in poorer recovery of hip muscle strength after RAO. Radiologically, acetabular coverage did not affect the recovery of hip muscle strength at one year’s follow-up. A more intensive rehabilitation programme may improve this. Cite this article: Bone Joint J 2019;101-B:1459–1463.

Triple Innominate Osteotomy in Young Adults for the Treatment of Acetabular Dysplasia: A 9-Year Follow-Up Study

Orthopedics ◽  
2001 ◽  
Vol 24 (6) ◽  
pp. 565-569
Author(s):  
Christopher L Peters ◽  
Brian W Fukushima ◽  
Tammy K Park ◽  
Sherman S Coleman ◽  
Harold K Dunn
Keyword(s):  
Young Adults ◽  
Acetabular Dysplasia ◽  
Follow Up Study ◽  
Innominate Osteotomy

scholarly journals Acetabular morphology in slipped capital femoral epiphysis: comparison at treatment onset and skeletal maturity

2018 ◽  
Vol 12 (5) ◽  
pp. 444-453 ◽  
Author(s):  
D. A. Maranho ◽  
A. Davila-Parrilla ◽  
P. E. Miller ◽  
Y.-J. Kim ◽  
E. N. Novais ◽  
...  
Keyword(s):  
Acetabular Dysplasia ◽  
Skeletal Maturity ◽  
Slipped Capital Femoral Epiphysis ◽  
Alpha Angle ◽  
Width Ratio ◽  
Acetabular Coverage ◽  
Neck Shaft Angle ◽  
Factors Associated ◽  
Acetabular Morphology

Purpose To investigate changes in acetabular morphology during the follow-up of slipped capital femoral epiphysis (SCFE) and search for factors associated with acetabular dysplasia at skeletal maturity. Methods We evaluated 108 patients with unilateral SCFE (mean age at slip, 12.3 years sd 1.7) to skeletal maturity, with a minimum follow-up of two years (median 4.5 years; interquartile range 3.2 to 6.2). Acetabular parameters obtained from initial and most recent radiographs included the lateral centre-edge angle (LCEA), Tönnis angle (TA) and acetabular depth-width ratio (ADR). Acetabular dysplasia was considered for LCEA < 20° or TA > 10°. Femoral parameters consisted of the most recent head diameter, neck-shaft angle, neck length, articulotrochanteric distance and alpha angle. Results At SCFE onset, the affected hip showed a slightly lower LCEA (26.4° sd 6.1° versus 27.3° sd 5.7°; p = 0.01) and ADR (330 sd 30 versus 340 sd 30; p < 0.001) compared with the uninvolved hip. At final follow-up, the affected hip showed lower LCEA (24.5° sd 7.6° versus 28.8°sd 6.6°; p < 0.001) and ADR (330 sd 40 versus 350 sd 40; p < 0.001), and TA was larger (5.5° sd 5.4° versus 2.3° sd 4.2°; p < 0.001) compared with the uninvolved hip. Acetabular dysplasia was observed in 27 (25%) of 108 hips with SCFE. Femoral head overgrowth, age at slip and SCFE severity were independent factors associated with acetabular dysplasia (p < 0.05). Conclusion Acetabular coverage and depth are not increased in SCFE, and the acetabular coverage tends to decrease up to skeletal maturity. A potential disturbance in the acetabular growth and remodelling exists mainly for young children with severe SCFE, and a potential for acetabular insufficiency may be observed at the diagnosis and follow-up of SCFE. Level of Evidence Prognostic Level IV

scholarly journals Observations on radiological correction of acetabular dysplasia by Dega transiliac osteotomy

2017 ◽  
Vol 5 (5) ◽  
pp. 1991
Author(s):  
Wazir Fahad Jan ◽  
Sanjay Sarup ◽  
Mohd Yahya Dar ◽  
Alamgir Jahan ◽  
Ovais Nazir Khan
Keyword(s):  
Acetabular Dysplasia ◽  
Mean Value ◽  
P Value ◽  
Preoperative Period ◽  
Radiological Parameters ◽  
Male Patients ◽  
The Mean ◽  
Paediatric Orthopaedic ◽  
Age Range

Background: Several osteotomies have been described for the correction of acetabular dysplasia associated with variable outcomes. The purpose of our study was to evaluate the effect of Dega transiliac osteotomy in radiological correction of acetabular dysplasia by assessing the change in various radiological parameters from preoperative period to postoperative period and at a follow up of two years.Methods: This was a prospective observational study conducted on 35 patients of either sex, in the age range of 18 months to 8 years, presenting to the paediatric orthopaedic OPD, of Artemis Health Institute, Gurgaon, Haryana, India between January 2012 and September 2014 in whom a diagnosis of acetabular dysplasia was made. All the patients underwent Dega transiliac osteotomy and the effectiveness of this osteotomy in the correction of acetabular dysplasia was assessed by measuring various radiological parameters preoperatively, postoperatively, and at a follow up of two years. The various radiological parameters included acetabular index (AI), centre edge angle of wiberg (CEAW), reimer’s extrusion index (REI) and the shenton’s line (SL).Results: In present study sample of 35 cases, 29 had DDH, 4 were secondary to cerebral palsy and 2 had developed dysplasia following septic arthritis of the hip. The sex distribution showed 19 females and 16 male patients. All the patients underwent Dega transiliac osteotomy at a mean age of 42.94±21.68 months. The mean value of AI improved from 42.43±4.77 degrees in preoperative period to 19.86±2.45 degrees at follow up. The mean value of CEAW improved from - 32.49±21.60 degrees in preoperative period to 32.06±5.48 degrees at follow up. The mean value of REI, improved from 91.06±21.43 % in preoperative period to 0.29±1.18 % at follow up. The SL was broken in all the 35 patients preoperatively, while at follow up it was continuous in all the patients. These changes in all the four parameters were statistically highly significant (p value<0.001).Conclusions: Thus results of present study demonstrate that Dega osteotomy is a safe, effective and versatile surgical procedure for the treatment of acetabular dysplasia secondary to DDH and other disorders. Since the majority of the patients included in this study had the diagnosis of DDH, the results of this study are more representative of dysplasia associated with DDH.

Rotational Acetabular Osteotomy for the Dysplastic Hip: A Follow-up for 5 to 18 years

2005 ◽  
Vol 40 (6) ◽  
pp. 717 ◽  
Author(s):  
Byung Woo Min ◽  
Ki Cheol Bae ◽  
Chul Hyung Kang ◽  
Kwang Soon Song ◽  
Sung Won Sohn
Keyword(s):  
Rotational Acetabular Osteotomy ◽  
Dysplastic Hip

scholarly journals Rotational acetabular osteotomy for advanced osteoarthritis of the hip joint with acetabular dysplasia

2008 ◽  
Vol 33 (6) ◽  
pp. 1549-1553 ◽  
Author(s):  
Masahiko Nozawa ◽  
Katsuhiko Maezawa ◽  
Keiji Matsuda ◽  
Sungon Kim ◽  
Katsuo Shitoto ◽  
...  
Keyword(s):  
Hip Joint ◽  
Acetabular Dysplasia ◽  
Rotational Acetabular Osteotomy ◽  
Osteoarthritis Of The Hip

scholarly journals What is the pelvic tilt in acetabular dysplasia and does it change following peri-acetabular osteotomy?

2021 ◽  
Author(s):  
Mark A Roussot ◽  
Saif Salih ◽  
George Grammatopoulos ◽  
Johan D Witt
Keyword(s):  
Pelvic Tilt ◽  
Acetabular Dysplasia ◽  
Normal Population ◽  
Pubic Symphysis ◽  
Study Group ◽  
Compensatory Mechanism ◽  
Femoral Head Coverage ◽  
Normal Limits ◽  
Symptomatic Acetabular Dysplasia

Abstract To quantify the pelvic tilt (PT) in patients with symptomatic acetabular dysplasia and determine if it represents a compensatory mechanism to improve femoral head coverage, we studied a cohort of 16 patients undergoing 32 bilateral staged PAOs for acetabular dysplasia and compared this to a matched cohort of 32 patients undergoing PAO for unilateral acetabular dysplasia all with &gt;1 year follow-up. The change in PT was determined with two validated methods, namely, the sacro-femoral-pubic (SFP) angle and the pubic symphysis to sacroiliac index (PS-SI). Despite an improvement in the lateral centre-edge and Tönnis angles to within normal limits following PAO, patients with unilateral and bilateral acetabular dysplasia have similar PT pre-operatively (8° ± 5°) and post-operatively (9° ± 5°). A change of &gt;5° was observed in only six patients (13%) using the SFP angle, and five patients (10%) using the PS-SI, all increased (posterior rotation of the pelvis). No patients were observed to have a change in PT &gt;10°. The observed PT in our study group is equivalent to that found in the normal population and in patient with symptomatic acetabular retroversion. These findings all suggest that PT is morphological rather than a result of a compensatory mechanism, and even if it was compensatory, it does not appear to reverse significantly following PAO. The target for acetabular reorientation, therefore, remains constant.

scholarly journals Survivorship and functional outcome of a cemented acetabular component with bulk roof autograft for severe acetabular dysplasia: 12- to 23-year follow-up

2021 ◽  
pp. 112070002110569
Author(s):  
Nick D Clement ◽  
Reynard J Immelman ◽  
Deborah MacDonald ◽  
Steffen J Breusch ◽  
Colin R Howie
Keyword(s):  
Patient Satisfaction ◽  
Clinical Outcome ◽  
Functional Outcome ◽  
Acetabular Component ◽  
Acetabular Dysplasia ◽  
Short Form ◽  
Kaplan Meier ◽  
Aseptic Revision ◽  
Excellent Functional Outcome

Aims: Primary aim was to determine survival of a cemented acetabular component with bulk roof autograft with a minimum of 12 years follow-up. The secondary aim was to determine the clinical outcome. Methods: A cohort of 62 consecutive patients (74 hips) undergoing cemented total hip arthroplasty with acetabular bulk roof autograft for acetabular dysplasia were retrospectively identified. The group consisted of 57 female patients (67 hips) and 5 male patients (7 hips) with a mean age at operation of 45 years. No patient was lost to follow-up, however 9 patients died had during the study period. The Oxford Hip Score (OHS), Forgotten Joint Score (FJS), EuroQol 5-Dimensional Score (EQ-5D), Short Form (SF-12) physical score and patient satisfaction were used to assess clinical outcome for patients with a surviving prosthesis. Results: The median follow-up was 16.6 (13.4–19.1) years. 6 revisions were performed during the follow-up period, all of which were due to aseptic loosening of the acetabular component. The all-cause Kaplan Meier survival rate for the acetabular component was 99% at 10 years, 95% at 15 years and 83% at 20 years. Neither age, gender, femoral osteotomy or polyethylene (UHMW vs. cross-linked) were significant predictors of aseptic revision of the acetabular component. There were no case of graft resorption and all grafts were radiologically incorporated. 45 patients were available for functional assessment at a mean follow-up of 18.2 years. The mean OHS was 37.8, FJS was 55.7, EQ5D was 0.73, and SF-12 physical component was 43.2. No patient was dissatisfied, with 2 patients reporting a neutral satisfaction, 7 stating they were satisfied and the remaining 36 were very satisfied. Conclusions: A cemented acetabular component with bulk roof autograft for dysplasia offers excellent survival with good to excellent functional outcome with high patient satisfaction in the medium- to long-term.

Sign in / Sign up

Export Citation Format

Share Document